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Marilyn Vivica Evans, FNP-BC
Primary Care Nurse Practitioner in Santa Monica, California
NPI 1265007579

Marilyn Vivica Evans is a Primary Care Nurse Practitioner based in Pasadena, CA and is specialized in Primary Care. Marilyn Vivica Evans practices in Santa Monica, CA and has the professional credentials of FNP-BC. The NPI Number for Marilyn Vivica Evans is 1265007579 and holds a License No. 95114161 (California).

The current practice location address for Marilyn Vivica Evans is 1250 16Th St, Santa Monica, CA and can be reached out via phone at 424-259-9440.

Location: 1250 16Th St, Santa Monica, CA, 91107-4202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265007579
Provider Name
Marilyn Vivica Evans
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1250 16Th St, Santa Monica, CA, 91107-4202
Phone Number
424-259-9440
Fax Number
Provider Enumeration Date
05/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1250 16Th St
City
Santa Monica
State
California
Zip
90404-1249
Phone Number
424-259-9440
Fax Number
person
Provider Business Mailing Address Details
Address
1250 16Th St
City
Santa Monica
State
California
Zip
90404-1249
Phone Number
424-259-9440
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
95114161 (California)
Definition
Definition to come...
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